Cúram Income Support for Medical Assistance

Cúram Income Support for Medical Assistance enables social program organizations to improve the efficiency and effectiveness of managing eligibility and entitlement services for medical assistance. Cúram Income Support for Medical Assistance equips organizations with a powerful, proven set of business tools and processes designed specifically for the effective management of both traditional medical assistance programs as well as Affordable Care Act and MAGI (Modified Adjusted Gross Income) based Medicaid programs.

Automated eligibility and entitlement determination uses pre-populated rule sets that can be easily appended and modified.

Multiple models of medical assistance

Provides individuals and families the ability to apply for assistance with their health care through the range of Insurance Affordability programs including traditional and MAGI-based Medicaid, CHIP, Insurance Assistance or the State option to provide a Basic Health Program

Supports complex program processing including spend-down, retroactive eligibility and long term care.

Ensures the correct application of complex eligibility policies through evidence entities, rules, and business processes for mandatory US Medicaid coverage groups, as well as optional programs including long term care, refugee and emergency medical assistance.

Automated eligibility and entitlement determinations

Evidence entities, rules, and processes support the specific mandates of the Affordable Care Act, including expanded Medicaid eligibility.

Cascading eligibility enables administrators to set program hierarchy, prioritizes programs, and allows for multiple program eligibility results that deliver the necessary benefits to citizens based on their unique circumstances.

Evidence entities, rules, and processes support the specific mandates of the Affordable Care Act, including expanded Medicaid eligibility and determining eligibility for insurance assistance or the state option to provide Basic Health Program.

Eligibility summaries and budget sheets guide new caseworkers through decision analysis, displaying details on how eligibility is determined for medical assistance coverage groups.